Idaho
Division of Occupational and Professional Licenses
ERIN MARIE IVERSON SHUMARD
Board Of Medicine
License number
PAT-1353
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
3327 S ASCAINO AVE MERIDIAN ID 83642
idaholicensing.com
ID 48353641
LAST UPDATED 2024-04-04 15:52:36 UTC
LAST UPDATED 2024-04-04 15:52:36 UTC
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